食管胃吻合口瘘窦道的封堵治疗  

Application of fibrin glue in treating esophagogastric anastomotic leakage

作　　者：何山红[1] 程金华[1] 闫明[1] 

机构地区：[1]河南省肿瘤医院,郑州市450003

出　　处：《实用诊断与治疗杂志》2004年第2期96-97,99,共3页Journal of Practical Diagnosis and Therapy

摘　　要：目的 :探讨用生物蛋白胶封堵吻合口瘘窦道。方法 :4例食管胃吻合口瘘均采用保守治疗 ,1例经颈部切口用手指钝性分离置管引流 ,其他 3例分别在X线、B超、CT定位下穿刺引流 ,经内外冲洗感染灶治疗后 ,注射医用生物蛋白胶封堵瘘口窦道。结果 :4例均在较短时间内治愈 ,无死亡发生 ,术后平均住院时间为 3 2d ,治疗效果满意。结论 :穿刺引流避免了感染灶的扩大 ,生物蛋白胶封堵瘘口窦道明显缩短了病程 ,是行之有效的方法。? Objective To evaluate the value of fibrin glue in treating esophagogastric anastomotic leakage. Methods Four cases of anastomotic leakage after esophageaoctomy were treated conservatively. One case was drained by finger detection from neck. Percutaneous drainage was performed under X ray, ultrasound or CT guided in other three cases. After washing the infective cavity through the drainage tube or by swallow washing, the fibrin glue was injected into the cavity to seal the leakage and block up the sinus. Results All four cases were cured and the average hospitalization time after operation was 32 days. Conclusion Percutaneous drainage can avoid the enlargement of the infective cavity. Fibrin glue injection can help the leakage healing and decrease the hospitalization time. It is a reliable way with effect, simple procedure and less complication.

关 键 词：食管癌 吻合口瘘 穿刺引流 生物蛋白胶 

分 类 号：R735.1[医药卫生—肿瘤]